tci Medicare Compliance & Reimbursement - 2004 Issue 28

CODING CORNER: Postacute Care Throwing You For A Loop?

Three hints for straightening out your patient-status coding. Many hospitals have had difficulty with the post-acute rule, and recent additions to the list of affected DRGs probably haven't made reporting transfers any easier. But if you can remember these few key rules about payment calculation and distinguishing between discharge and transfer patients, correct coding will be a snap.Count On These Payment Facts Now that there are 29 diagnosis-related groups (DRGs) subject to per-diem reimbursement instead of 10, reporting the proper patient status code is all the more crucial for correct reimbursement. So when the patient's diagnosis falls into...

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